Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.85 / $2,800.00 / $6,915.00	Facility		$424.85	$2,800.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.67 / $424.85 / $850.23	Professional		$350.67	$424.85	$850.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $337.96 / $337.96 / $337.96	Professional		$337.96	$337.96	$337.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.33 / $546.09 / $1,002.47	Professional		$377.33	$546.09	$1,002.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $671.00 / $820.32 / $1,115.88	Facility		$671.00	$820.32	$1,115.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $656.57 / $1,153.31	Facility		$640.00	$656.57	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.79 / $582.09 / $1,011.27	Professional		$381.79	$582.09	$1,011.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.86 / $562.58 / $1,044.49	Professional		$447.86	$562.58	$1,044.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.26 / $646.47 / $770.24	Professional		$549.26	$646.47	$770.24
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.90 / $529.79 / $954.27	Professional		$344.90	$529.79	$954.27